Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 25355 | CA |
NPI | 1003939919 |
---|---|
Provider Name | Dr. Geraldine A Mulhall |
First Address | Pleasant Hill, CA 94523-4362 |
Second Address | Pleasant Hill, CA 94523-4362 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 24/07/2008 |